Date: 12-04-2024
0424 E010
Final Year MBBS Examination
III MBBS Part 2 Medicine Paper 1 (New)
Time: 3 hours

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Max Marks: 100
Instructions:
1. Answer to the points.
2. Figure to the right indicates marks.
3. Use separate answer books for each

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section.
4. Draw diagrams wherever necessary.
5. Write legibly.
Section 1
1. Write in detail (Any one out of two)

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Structured long question 1x 10 =10 marks

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a) Enumerate different types of
inflammatory bowel disease.Write an
approach to ieivingi with Ulcerative colitis
and its management.

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b) Enumerate clinical feature &
complications of portal hypertension Discuss
the management of portal hypertension. (10)
2. Case-based scenario/Applied Short
notes (Any two out of Three)

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2x6 =12 marks
a) A 25 years old female
patient came in E/R complaining of bone
pain, abdominal pain with vomiting in
episodes Symptoms relieved after

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Rehydration and non ?" NSAID analgesic
(1) Diagnose the case and elaborate the
clinical features. (ii) Investigation and
management of this patient. Patient with
acute gastroenteritis, low BP, decreased

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urine output and disorientation. (i)Diagnose
the case ii) Investigation and management of
the case.
b) A patient with acute gastroenteritis low
BP, decreased urine outputand disorientation

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(i) Diagnose the case (ii) Investigation and
management of the case?
c) A patient 24 years came with complain of
abdominal pain, vomiting after fasting of
Shivratri (i) Diagnose the case (ii) How will

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you proceed for treatment?
(12)
3. Write short notes (Any three out of
four)
3x6 =18 marks

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a) Causes and management of hyponatremia
b) Importance of platelet transfusion
c) Mesothelial malignancy
d) Dimorphic anemia
(18)

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4. Answer only in 2-3 sentences (Any
five out of six)
2x5-10 marks
a) GERD
b) Role of PPI

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c) Hepatitis E
d) Hypocalcaemia
e) Membranous Glomerulonephritis
f) C/F of Vitamin B12 deficiency
(10)

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Section 2
5. Write in detail (Any one out of two)
1x10=10 marks
a) What is mitral
regurgitation? Discuss causes and clinical

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features of mitral regurgitation. Management
of mitral regurgitation?
b) Discuss Clinical features, diagnosis and

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management of pericardial effusion.
(10)

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6. Case based scenario/Applied Short
notes (Any two out of three)
2x6 = 12 marks
a) A patient a 52 years
came with recurrent left side chest pain with

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perspiration, vomiting not relived by PPI (i)
Diagnose the case. (ii) Differential
diagnosis. (iii) Investigation and
management.
b) A patient came in E/R with fever

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headache,mild icterus, episodes of loss of
consciousness with splenomegaly (i):
Diagnose the case (ii) Investigation and
management of the case.
c) A patient came in E/R with pain abdomen,

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severe dehydration, loss of consciousness
with a history of hyperglycemia, on
medication. (i) Diagnose the case (ii)

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Proceed for investigation and management
of case

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(12)
7. Write short notes (Any three out of
four)
3x6 =18 marks
a) C/F diagnosis of Diabetic Hyperosmolar

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coma
b) Diagnosis and management of
complicated Typhoid fever
c) Complication and treatment of ventricular
fibrillation

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d) Opportunistic CNS infection in HIV (18)
8. Answer only in 2-3 sentences (Any
five out of six)
5x2=10 marks
a) Osteoporosis in elderly

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b) Water hammer pulise
c) Atrial Myxoma

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d) DPP4 inhibitors.
e) LSM in Diabetes mellitus in Elderly
f) Giardiasis treatment

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(10)

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